Imaging prices at Boone County Hospital
Boone, IA · every code in this section with a posted price and a Medicare benchmark.
230 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 4 matching MRF lines |
$24–$210.70 | $30–$263.37 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$45–$331.13 | $56.25–$413.91 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,423.62 | $1,779.53 | 3.7× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$38.40–$335.22 | $48–$419.02 | varies |
| Arthrogram ankle (73615) | $621.21 | $776.51 | 1.9× |
| Arthrogram hip (73525) | $695.60 | $869.50 | 2.1× |
| Bone age studies (77072) range across 2 matching MRF lines |
$27.20–$225.44 | $34–$281.80 | varies |
| Bone Imaging 3 Phase (78315) | $1,423.62 | $1,779.53 | 3.7× |
| Bone Imaging Limited Area (78300) | $890.65 | $1,113.31 | 2.3× |
| Bone Imaging Multiple Areas (78305) | $1,145.34 | $1,431.68 | 3.0× |
| Bone Imaging Whole Body (78306) | $1,399.13 | $1,748.91 | 3.6× |
| Cat Scan Follow-Up Study (76380) | $682.90 | $853.62 | 8.2× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$22.40–$204.80 | $28–$256 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$40.80–$266.50 | $51–$333.12 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$52–$244.94 | $65–$306.18 | varies |
| Chest 4 or more views (71048) | $396.90 | $496.13 | 3.9× |
| Clavicle complete (73000) range across 6 matching MRF lines |
$31.20–$425.02 | $39–$531.27 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,446.08 | $1,807.60 | 14.4× |
| Contrast X-Ray Bladder (74430) | $419.10 | $523.88 | 1.2× |
| Contrast X-Ray Of Elbow (73085) | $1,108.15 | $1,385.19 | 3.3× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$3,310.60–$3,618.37 | $4,138.25–$4,522.96 | varies |
| CT abdomen and pelvis without contrast (74176) | $2,177.06 | $2,721.32 | 9.5× |
| CT abdomen w contrast (74160) | $1,791.94 | $2,239.93 | 10.6× |
| CT abdomen w wo contrast (74170) | $2,478.93 | $3,098.66 | 14.7× |
| CT abdomen w/o contrast (74150) | $1,442.22 | $1,802.78 | 14.4× |
| CT Angio Abdomen and Pelvis (74174) | $3,438.29 | $4,297.86 | 10.3× |
| CT Angio Chest (71275) | $2,108.56 | $2,635.70 | 12.5× |
| CT Angio Head (70496) | $2,305.42 | $2,881.77 | 13.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,015.35 | $2,519.19 | 12.0× |
| CT Angio Neck (70498) | $2,221.05 | $2,776.31 | 13.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,240.37 | $1,550.46 | 7.4× |
| CT cervical spine w/ contrast (72126) | $2,090.87 | $2,613.59 | 6.2× |
| CT cervical spine w/o contrast (72125) | $1,713.70 | $2,142.13 | 17.1× |
| CT cervical spine w/wo cont (72127) | $2,444.46 | $3,055.57 | 14.5× |
| CT chest w contrast (71260) | $1,761.56 | $2,201.95 | 10.4× |
| CT chest w/wo contrast (71270) | $2,084.06 | $2,605.08 | 12.4× |
| CT head/brain with contrast (70460) | $1,679.22 | $2,099.03 | 10.0× |
| CT head/brain without and with contrast (70470) | $1,860.66 | $2,325.83 | 11.0× |
| CT iac w contrast (70481) | $1,618.67 | $2,023.34 | 9.6× |
| CT l-spine w&w/o contrast (72133) | $2,503.42 | $3,129.28 | 14.8× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,350.14–$2,700.27 | $1,687.67–$3,375.34 | varies |
| CT lower extremity w/contrast material (73701) | $1,813.50 | $2,266.87 | 10.8× |
| CT lumbar spine w contrast (72132) | $2,339.67 | $2,924.59 | 7.0× |
| CT lumbar spine w/o contrast (72131) | $1,817.58 | $2,271.97 | 18.1× |
| CT maxillofacial w contrast (70487) | $1,654.74 | $2,068.42 | 9.8× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,414.78–$1,431.56 | $1,768.48–$1,789.45 | varies |
| CT neck tissue combo (70492) | $2,141.90 | $2,677.37 | 12.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,209.49 | $2,761.86 | 13.1× |
| CT orbits w/o contrast (70480) | $1,469.66 | $1,837.08 | 14.6× |
| CT pelvis w&w/o contrast (72194) | $2,277.98 | $2,847.47 | 13.5× |
| CT pelvis w/o contrast (72192) | $1,469.66 | $1,837.08 | 14.6× |
| CT scan of leg combo (73702) | $2,277.07 | $2,846.34 | 13.5× |
| CT scans face/jaw combo (70488) | $1,729.34 | $2,161.68 | 10.3× |
| CT soft tissue neck w contrast (70491) | $1,840.94 | $2,301.17 | 10.9× |
| CT soft tissue neck w/o contrast (70490) | $1,459.91 | $1,824.89 | 14.5× |
| CT thoracic spine w contrast (72129) | $1,842.07 | $2,302.59 | 10.9× |
| CT thoracic spine w/o contrast (72128) | $1,636.14 | $2,045.17 | 16.3× |
| CT thoracic spine w/wo cont (72130) | $2,032.13 | $2,540.16 | 12.1× |
| CT thorax w/o contrast (71250) | $1,446.08 | $1,807.60 | 14.4× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,440.18–$2,880.37 | $1,800.23–$3,600.46 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,952.75 | $2,440.94 | 11.6× |
| CT upper extremity with contrast (73201) | $1,637.27 | $2,046.59 | 4.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,167.90 | $5,209.88 | 24.7× |
| Cta Abdomen (74175) | $2,182.04 | $2,727.55 | 12.9× |
| CTA pelvis (72191) | $2,042.79 | $2,553.49 | 12.1× |
| Dxa Bone Density Axial (77080) | $461.54 | $576.93 | 4.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $461.54 | $576.93 | 5.5× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$68–$132.80 | $85–$166 | varies |
| Esophagram (74220) | $483.99 | $604.99 | 2.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $412 | $515 | 4.1× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$274.43–$385.11 | $343.04–$481.39 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$37.60–$482.18 | $47–$602.73 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$30.40–$425.02 | $38–$531.27 | varies |
| Gastric emptying imaging study (78264) | $1,225.62 | $1,532.03 | 3.2× |
| Gated Heart Planar Single (78472) | $1,451.98 | $1,814.97 | 3.8× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$33.60–$354.72 | $42–$443.40 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,321.79 | $1,652.24 | 2.5× |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,053.26–$1,321.79 | $1,316.57–$1,652.24 | varies |
| Ht Muscle Image Spect Sing (78451) | $1,794.90 | $2,243.62 | 1.4× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$40–$521.19 | $50–$651.49 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $398.72 | $498.40 | 4.8× |
| K Flow/Funct Image W/Drug (78708) | $1,145.34 | $1,431.68 | 2.2× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$47.20–$408.67 | $59–$510.84 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $1,467.62 | $1,834.53 | 2.8× |
| Lung Ventilation Imaging (78579) | $813.82 | $1,017.27 | 2.1× |
| Lymph System Imaging (78195) | $574.40 | $718 | 1.1× |
| Magnetic Image Jaw Joint (70336) | $2,764.02 | $3,455.02 | 12.0× |
| Meckels Divert Exam (78290) | $1,017.88 | $1,272.35 | 2.6× |
| Mra Head W/O & W/Contrast Material (70546) | $2,539.48 | $3,174.35 | 7.6× |
| MRA head w/o contrast (70544) | $2,120.13 | $2,650.16 | 9.2× |
| MRA head with contrast (70545) | $2,356.46 | $2,945.57 | 7.0× |
| MRA neck w contrast (70548) | $2,645.39 | $3,306.74 | 7.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,860.86 | $3,576.07 | 8.5× |
| MRA neck w/o contrast (70547) | $2,514.98 | $3,143.73 | 11.0× |
| MRI abdomen w/o contrast (74181) | $2,240.78 | $2,800.98 | 9.8× |
| MRI any jt lower extrem w/contrast material (73722) | $2,453.30 | $3,066.62 | 3.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$3,195.16–$6,390.32 | $3,993.95–$7,987.90 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,661.95 | $3,327.44 | 3.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,039.16 | $2,548.95 | 8.9× |
| MRI cervical spine w contrast (72142) | $2,488.67 | $3,110.84 | 7.4× |
| MRI cervical spine w/o cont (72141) | $2,385.71 | $2,982.14 | 10.4× |
| MRI chest w/o contrast (71550) | $3,056.82 | $3,821.02 | 13.3× |
| MRI chest wo w contrast (71552) | $986.40 | $1,233 | 2.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$3,195.16–$6,390.32 | $3,993.95–$7,987.90 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$2,186.81–$4,373.62 | $2,733.51–$5,467.02 | varies |
| MRI lumbar spine w contrast (72149) | $2,577.82 | $3,222.27 | 7.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,617.23 | $4,521.54 | 10.8× |
| MRI orbit face &/neck w/o contrast (70540) | $2,473.02 | $3,091.28 | 10.8× |
| MRI orbit face neck w contrast (70542) | $2,846.34 | $3,557.93 | 8.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,273.40 | $4,091.75 | 9.8× |
| MRI pelvis w/o & w contrast (72197) | $3,398.83 | $4,248.54 | 10.1× |
| MRI pelvis w/o contrast (72195) | $2,240.78 | $2,800.98 | 9.8× |
| MRI thoracic spine w/o contrast (72146) | $2,359.40 | $2,949.25 | 10.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,670.80 | $3,338.50 | 11.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,236.21 | $4,045.26 | 9.6× |
| MRI, abdomen, combo (74183) | $3,656.47 | $4,570.59 | 10.9× |
| MRI, dorsal spine combo (72157) | $3,376.38 | $4,220.47 | 10.1× |
| MRI, dorsal spine contrast (72147) | $2,713.90 | $3,392.37 | 8.1× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$2,240.78–$4,481.57 | $2,800.98–$5,601.96 | varies |
| MRI, joint upper extrem combo (73223) | $3,195.16 | $3,993.95 | 9.5× |
| MRI, lumbar spine combo (72158) | $3,615.42 | $4,519.27 | 10.8× |
| Myocardial Spect Multiple Studies (78452) | $2,226.05 | $2,782.56 | 1.8× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$35.20–$222.49 | $44–$278.11 | varies |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $806.28 | $1,007.85 | 9.6× |
| Parathyroid Planar Imaging (78070) | $1,047.37 | $1,309.21 | 2.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,047.37 | $1,309.21 | 2.7× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$27.20–$200.95 | $34–$251.19 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $813.82 | $1,017.27 | 2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$56–$481.04 | $70–$601.30 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$36.80–$444.98 | $46–$556.22 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$36.80–$325.73 | $46–$407.16 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$39.20–$429.11 | $49–$536.39 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$57.60–$483.99 | $72–$604.99 | varies |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
$37.60–$364.69 | $47–$455.86 | varies |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$36–$538.88 | $45–$673.60 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$36–$444.98 | $45–$556.22 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$39.20–$299.81 | $49–$374.76 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $339.07 | $423.84 | 3.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$44–$302.78 | $55–$378.48 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$32.80–$273.29 | $41–$341.61 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 7 matching MRF lines |
$31.20–$562.46 | $39–$703.08 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$43.20–$236.10 | $54–$295.12 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$32–$183.26 | $40–$229.07 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$46.40–$238.14 | $58–$297.68 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
$34.40–$253.15 | $43–$316.44 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$39.20–$332.94 | $49–$416.18 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$39.20–$299.81 | $49–$374.76 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$41.60–$587.86 | $52–$734.83 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $128 | $160 | 1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$51.20–$307.54 | $64–$384.43 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$53.60–$475.20 | $67–$594 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$47.20–$237 | $59–$296.25 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$483.92–$483.99 | $604.90–$604.99 | varies |
| Radiologic exam swallow function contrast study (74230) | $746.62 | $933.28 | 4.4× |
| Radiologic examination femur 1 view (73551) | $40.80 | $51 | 0.5× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$48–$515.30 | $60–$644.12 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$32–$322.27 | $40–$402.84 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$38.40–$424.80 | $48–$531 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$56–$342.92 | $70–$428.65 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,309.09 | $1,636.36 | 2.5× |
| Scapula (73010) range across 3 matching MRF lines |
$40–$532.98 | $50–$666.23 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $62.40 | $78 | 2.7× |
| Sella turcica (70240) | $307.54 | $384.43 | 3.7× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$32.80–$429.11 | $41–$536.39 | varies |
| Shoulder Arthrography (73040) | $658.40 | $823 | 2.0× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$47.20–$249.94 | $59–$312.42 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$51.20–$241.09 | $64–$301.36 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$46.40–$288.04 | $58–$360.05 | varies |
| Thoracic spine 3 views (72072) | $40.80 | $51 | 0.4× |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$42.40–$305.73 | $53–$382.16 | varies |
| Thyroid Uptake Measurement (78012) | $729.85 | $912.31 | 1.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$674.05–$1,038.52 | $842.56–$1,298.15 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$92.80–$512 | $116–$640 | varies |
| Ultrasound Exam Aaa Screen (76706) | $231.34 | $289.17 | 2.3× |
| Ultrasound, abdomen limited (76705) | $698.54 | $873.18 | 7.0× |
| Umbilical-artery Doppler (OB) (76820) | $145.60 | $182 | 1.4× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$121.60–$656.36 | $152–$820.45 | varies |
| Us chest (76604) | $646.80 | $808.50 | 6.4× |
| Us exam, pelvic, limited (76857) | $398.72 | $498.40 | 4.0× |
| Us kidney transplant (76776) | $666.34 | $832.93 | 6.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$19.20–$584.02 | $24–$730.02 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$65.60–$461.54 | $82–$576.93 | varies |
| Us ob transvaginal (76817) | $503.50 | $629.37 | 5.0× |
| Us pelvic non ob complete (76856) | $554.52 | $693.15 | 5.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $432.05 | $540.06 | 4.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $434.10 | $542.62 | 4.3× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$699.45–$1,101.60 | $874.31–$1,377 | varies |
| Us retroperitoneal limited (76775) | $398.72 | $498.40 | 4.0× |
| Us scrotum and contents (76870) | $653.41 | $816.76 | 6.5× |
| Us spinal canal and contents (76800) | $407.56 | $509.45 | 4.1× |
| Us thyroid (76536) | $806.28 | $1,007.85 | 8.0× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$39.20–$442.71 | $49–$553.39 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$50.40–$216.60 | $63–$270.75 | varies |
| X-Ray Bend Only L-S Spine (72120) | $305.73 | $382.16 | 3.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$39.20–$362.43 | $49–$453.04 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$329.31–$757.29 | $411.64–$946.61 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$54.40–$307.54 | $68–$384.43 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $98.40 | $123 | 1.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $107.20 | $134 | 1.1× |
| X-Ray Exam Hip Uni 1 View (73501) range across 5 matching MRF lines |
$43.20–$281.23 | $54–$351.54 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$64–$281.23 | $80–$351.54 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$79.20–$281.23 | $99–$351.54 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 5 matching MRF lines |
$60–$600 | $75–$750 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 4 matching MRF lines |
$72–$422.50 | $90–$528.12 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$86.40–$313.23 | $108–$391.54 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$84.80–$532.08 | $106–$665.10 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$41.60–$282.14 | $52–$352.67 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$78.40–$465.39 | $98–$581.74 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$88–$316.39 | $110–$395.49 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$40.80–$444.98 | $51–$556.22 | varies |
| X-ray IV pyelogram (ivp) (74400) | $896.54 | $1,120.67 | 5.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$67.20–$179.40 | $84–$224.25 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$34.40–$290.08 | $43–$362.60 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$44.80–$305.73 | $56–$382.16 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$36–$237 | $45–$296.25 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$71.20–$415.50 | $89–$519.37 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$49.60–$251.75 | $62–$314.69 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$35.20–$201.86 | $44–$252.32 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$41.60–$246.98 | $52–$308.73 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$40–$307.54 | $50–$384.43 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$63.20–$339.07 | $79–$423.84 | varies |
| X-Ray Stress View (77071) | $96 | $120 | 1.1× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$61.60–$407.56 | $77–$509.45 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$34.40–$168.51 | $43–$210.64 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $300.87 | $376.09 | 0.9× |
| X-Rays Bone Length Studies (77073) | $257.65 | $322.06 | 2.6× |
| X-Rays Bone Survey Complete (77075) | $1,123.80 | $1,404.75 | 11.2× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$71.20–$380.12 | $89–$475.15 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$56–$370.36 | $70–$462.95 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$160–$373.32 | $200–$466.65 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.